It’s easy to take what we have here for granted. This is a land of unmatched freedom and opportunity. Not that it’s always crimson and clover. For example, consider what skilled care providers are...
Ask the payment expert … about payment reductions
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Oct 10, 2023
Q: How do I know what determines my 2% annual payment reduction? I’ve received a non-compliance letter citing MDS reporting requirements, but it doesn’t provide details.
Skilled nursing care’s cloudy Medicare future
By
Brendan Williams
Aug 18, 2023
A net gain of $1.4 billion for a sector comprised of over 15,000 nursing homes somewhat pales in comparison to a looming CMS staffing mandate estimated to cost nursing homes $11.3 billion a year.
Insurgence of leveled contracts
By
Susie Mix
Jul 14, 2023
By now, we’re all pretty familiar with the fact that managed care is altering the post-acute care payor mix with Medicare Advantage plans. This is a byproduct of national policy, intended to offset our...
MedPAC finds single post-acute payment system feasible but says smaller-scale fix might be better
By
Kimberly Marselas
Jun 16, 2023
An attempt to unify payments for providers across all types of post-acute care is “analytically within reach,” but extensive policy changes that would likely be needed,
After dry spells, providers get vital Medicaid increases. Now the big fear: Will they be ‘1-and-done’?
By
Jessica R. Towhey
Kimberly Marselas
Jun 12, 2023
As Medicaid negotiations successfully continue in various states, worries are already arising about how to sustain increases
‘Critical access’ not at critical mass, but skilled nursing providers push on
By
Kimberly Marselas
Feb 02, 2023
Support for the concept of critical access nursing homes is growing among providers, but it has yet to gain much traction among industry leaders or the politicians who would need to create such a safety...
When the wolf actually shows up
By
John O'Connor
Jan 13, 2023
There are times when actual survival is at stake. As it happens, one of those times happens to be right now
MedPAC recommends fresh Medicare cuts for skilled nursing
By
Joe Bush
Dec 12, 2022
MedPAC Friday recommended a 3% cut to Medicare base payments made to skilled nursing facilities in 2024.
Ask the payment expert … about pending removal of Section G
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Dec 05, 2022
What is the impact of Section G being removed from the MDS?
